Organization
RENEWED MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILIAM MCCORMACK LMHC (PRESIDENT)
(727) 275-2684
Entity
Organization
Contact information
Practice address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
(727) 275-2684
Mailing address
PO BOX 15442, CLEARWATER, FL 33766-5442
(727) 275-2684
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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